Stanislaus County, CA · Stanislaus County
Request for Live Scan Service
Applicants use this form to request fingerprint-based background checks through Live Scan for a license, certification, permit, employment, or other authorized purpose.
At a glance
- Issued by
- City of Stanislaus County · Stanislaus County, Stanislaus County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- stancounty.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form identifies the applicant and the requesting agency, and provides information for a Live Scan fingerprint submission. Complete it when an authorized applicant agency requests a fingerprint-based background check; the form lists Stanislaus County Clerk Recorder as the contributing agency. It asks for identifying, contact, license or permit, and employer information, plus the applicant’s signature and date.
Who needs it
Applicants asked to submit fingerprints for a license, certification, permit, employment, or another authorized background-check purpose may need this form.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the applicant signs and dates the form after acknowledging receipt of the privacy notices.
How to submit this form
- 1
Download the Form
Download the Request for Live Scan Service PDF.
- 2
Complete Applicant Information
Fill in the requested applicant, license or permit, and applicable employer information.
- 3
Review the Privacy Notices
Read the included privacy notices and acknowledge receipt on the form.
- 4
Sign and Submit
Sign and date the form, then submit it to the county department named on the form.
Frequently asked questions
- Who uses the Request for Live Scan Service?
- Applicants asked to provide fingerprints for an authorized background check, such as for a license, certification, permit, or employment, may use this form.
- What information does the form request?
- It requests applicant identifying and contact details, license or permit information, employer information when applicable, and the applicant’s signature and date.
- Do I need a notary for the Request for Live Scan Service?
- No. The document has no notary block; the applicant signs and dates it after acknowledging receipt of the privacy notices.
- How do I submit the Request for Live Scan Service?
- The document does not give submission instructions. Submit it to the county department named on the form and check the county website for current contact details.